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Year : 2001  |  Volume : 14  |  Issue : 3  |  Page : 373-382

Assessing Confidence and Competence of Senior Medical Students in an Obstetrics and Gynaecology Clerkship using an OSCE

1 Assistant Professor, Department of Medical Education, Faculty of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
2 Assistant Professor, Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates

Correspondence Address:
Margaret A Elzubeir
PO Box 17666, Al Ain
United Arab Emirates
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Source of Support: None, Conflict of Interest: None

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Context: A ssessment of clinical confidence and competence of senior medical students during an obstetrics and gynaecology clerk ship using an objective structured clinical examination ( OSCE ). Method: A questionnaire was distributed to senior medical students (n=47 ) to assess preand post-OSCE self-perceived con; dence and competence in five clinical sk ills: history tak ing, performing pelvic examination, interacting and communicating with patients, clinical reasoning and dealing with difficult patient situations. Pre- and post-performance con; dence levels were compared and correlated with OSCE scores. Results: The five clinical sk ills were significantly interrelated (p=0.001 ). There was no significant difference in OSCE performances between male (n=16 ) and female (n=31 ) students. Pre- and post-OSCE confidence in performing pelvic examination was significantly higher in female than male students (p=0.01 ). Post-OSCE confidence in clinical reasoning and dealing with difficult patient situations only were significantly increased in both groups (p=0.01 and p=0.02, respectively ). Pre- and post-performance confidence levels were not significantly correlated to OSCE scores. Conclusion: Of five clinical sk ills rated, self-confidence in clinical reasoning sk ills and dealing with challenging or complex patient problems only were significantly increased after an OSCE assessing competence. The content of some of our OSCE stations thus enhance confidence in these sk ills but psychometric and other characteristics of the OSCE such as duration and performance feedback mechanisms need further investigation.

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